Chapter 1999 Interventional Surgery that Cannot Fail (The Leader Quietly Waits for Your Arrival Plus More 2)

After receiving the call, Zheng Ren, who was about to get off work, got into the car as quickly as possible and rushed directly to the cancer hospital.

Because it was a foreign body in the heart, Zheng Ren was very cautious and brought everyone along, even the anesthesiologist Lao He called to come together.

A full set of people took two cars. When getting into the car, Zheng Ren was also in a daze, wondering if his medical team had grown to this extent inadvertently.

Originally, Lin Yuan was supposed to stay and write the medical records with Chang Yue, but she followed whatever she said and promised that all the work would be done after the surgery.

Zheng Ren didn't bother to manage, he knew that he was not a qualified medical team leader. Because my desire to control is not so strong, the doctors under him are basically free-range.

"Boss, what do you say over there?" After getting into the car, Su Yun had time to ask.

"It is said that the PICC pipeline fell off, the time is unknown, and the interventional operation could not remove it."

"It's not pulmonary thrombosis, it's troublesome." Su Yun frowned.

For example, when Taiwan was rescued at the International Hospital, it was a big frame that had just fallen into the heart, and the difficulty of the operation was still controllable.

However, the foreign body falling off at an unknown time means that the risk of surgery is huge.

Zheng Ren did not discuss the condition with Su Yun, but closed his eyes and prepared to go to the system operating room for surgery to see what to do.

"Ding dong~"

The long-lost system task notification sounded in my ears.

[Urgent mission: Interventional surgery that cannot fail.

Task content: Remove the fallen PICC pipeline by interventional surgery. Because the patient has an advanced tumor, the huge trauma of the thoracotomy will lead to continuous deterioration of immunity. If the detached catheter cannot be removed by interventional surgery, the patient will die soon.

Task time: 12 hours.

Task rewards: 100,000 experience points, 10,000 skill points, master-level skill book x 1. 】

The name of this task...

Zheng Ren was stunned for a moment. He looked at the system panel, thought for a few seconds and then understood the reason.

The logic is simple. The patient is not a person who was previously healthy, but a person diagnosed with an advanced tumor and whose flame of life has dimmed.

In interventional surgery, there is only one needle hole, and the patient's body can still accept it. After all, interventional surgery has little trauma to patients and has almost no impact.

However, if it is replaced by a thoracotomy, the sternum is split and the mediastinum is opened. Even if the operation is extremely fast, the trauma suffered by the patient is quite large.

In the words of ordinary people, this is called disembowelling and hurting one's vitality.

How long you can live after surgery is really not certain.

It is possible that after the operation, even if the operation is smooth and successful, the patient cannot bear the shock of the operation because of his poor physical function, and then dies directly due to multiple organ failure.

Doing surgery does not benefit the patient, but may shorten the survival period.

It's better not to do this kind of surgery.

But……

In short, this is a dilemma.

The task title given by Big Pig's Trotter is indifferent-interventional surgery that cannot be failed. What the hell is that!

Zheng Ren was also very helpless. After reading the mission description, he entered the system operating room and clicked to buy system operation time.

The system operating room rose from the ground, and Zheng Ren was worried that Su Yun's chatter would waste his precious surgical training time, so he just got in.

Entering the operating room of the system, Zheng Ren first took a look at the patient's information.

He was stunned for a moment.

The PICC pipe has been off for at least 1 month!

Normally, PICC pipeline maintenance is once a week. Anticoagulant drugs such as heparin sodium should be injected in order to prevent thrombus from forming in the pipeline.

But it fell off for a month... Don't you usually maintain it?

As for what happened to the patient, Zheng Ren didn't think about it. It's useless to think about these things. The most urgent task now is to remove the fallen PICC catheter.

Zheng Ren first inserted a 6F sheath through the left median vein, guided the basket catheter for occlusion of ventricular septal defect, entered the left subclavian vein through the median vein of the left elbow, and grasped the end of the PICC. The first attempt failed, and the second attempt failed. success.

For Zheng Ren, who was at the peak of interventional surgery, the two attempts during the arrest process were the most.

No matter how much, it is impossible!

Many people will fail at this step, but this does not exist in Zheng Ren's world.

However, after grabbing the PICC catheter, Zheng Ren exerted a little force, but the catheter remained motionless as if it had been sewn with sutures.

This should be due to the adhesion of the catheter at the end of the heart, Zheng Ren immediately made a judgment. But he didn't give up. After all, this is a system operating room, and he can make mistakes unscrupulously.

Hard, harder...

The operation failed and the subject died.

If one way doesn’t work, then change another way.

In the second operation, Zheng Ren inserted a 6F sheath into the right femoral vein of the test body.

Using the right coronary angiography catheter as a guide, the basket catheter was sent to the right ventricle, but the proximal end of the PICC tube had entered the right pulmonary artery. After several attempts, the basket catheter failed to capture the PICC tube.

However, this did not trouble Zheng Ren. He inserted the right coronary artery catheter into the right pulmonary artery, manipulated the catheter, and wanted to pull the proximal end of the PICC tube back into the right ventricle.

But this time the operation failed again.

The proximal end of the PICC tube is deeply buried in the thrombus, and it is impossible to use the ring-shaped head of the basket catheter to enclose the proximal end of the PICC tube in the method of "looping the horse".

Zheng Ren had no choice but to perform thrombolysis first, flush the thrombus with urokinase, and remove the thrombus bit by bit through interventional surgery.

Then he grasped the PICC tube at a little distance, closed it, passed the front end of the basket catheter through the tricuspid valve, and rubbed the adhesion of the catheter little by little.

Atrial fibrillation...the test subject died.

The experimental subject died...

The experimental subject died...

The experimental subject died...

Zheng Ren didn't know how many times he had experienced the failure of the operation on the death of the experimental subject.

For him at the peak of intervention, it is unimaginable that he would fail so many times in pure interventional surgery.

In other words, patients in cancer hospitals should not be treated with interventional surgery at all, but should undergo thoracotomy, open the heart, blunt dissection, and take out the PICC tube.

However, it was a patient with an advanced tumor.

Zheng Ren knew that he could admit defeat.

In this way, a lot of surgical training time can be saved. All that needs to be done is to go to the cancer hospital and tell everyone what is the difficulty of the operation after the angiography.

Doing so is the most "economical", most "affordable", and most in line with your own "interests".

However, life is not a game, what I am facing is not an experimental subject, but a living person, not a cold number.

Regardless of why the PICC pipeline fell off for 1 month, the patient and the patient's family members still don't know. When I encounter it, I must go all out to try to save the patient's life.

The operation training time passed bit by bit. After the eighth failure, Zheng Ren began to dissect the experimental body, clarify the anatomical structure, and directly observe the condition of the experimental body.